Document Detail


Functional evaluation of distal esophagus and lower esophageal sphincter after esophagogastric devascularization, esophageal transection and antireflux procedure for bleeding esophageal varices.
MedLine Citation:
PMID:  6611325     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Distal esophageal function and LES competence were evaluated in 21 patients by means of esophageal manometry and standard pHmetry after Sujura mod. operation for bleeding esophageal varices. This operation involves complete devascularization of 10-12 cm. of distal esophagus, disruption of anatomic anti-reflux mechanism, excision of nearly one cm. of muscular tissue at lower esophageal sphincter level. Intraoperative manometry was performed in 8 patients and demonstrated a significant shortening of high pressure zone, while lower esophageal sphincter pressure did not show significant variations. Postoperatively gastroesophageal reflux at pHmetry was not observed (five patients had pathological reflux preoperatively). No significant variations of resting lower esophageal sphincter pressure and no peristaltic alterations were observed. In conclusion despite the marked anatomic alterations related to this procedure, sphincter dynamics and distal esophageal function remain nearly normal.
Authors:
E Ancona; G Zaninotto; A Nosadini; G Battaglia; P Rigotti; D Scibetta; P Sorrentino
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Italian journal of surgical sciences / sponsored by Società italiana di chirurgia     Volume:  14     ISSN:  0392-3525     ISO Abbreviation:  Ital J Surg Sci     Publication Date:  1984  
Date Detail:
Created Date:  1984-09-18     Completed Date:  1984-09-18     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8213451     Medline TA:  Ital J Surg Sci     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  25-9     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Esophageal and Gastric Varices / physiopathology*,  surgery
Esophagogastric Junction / physiopathology*,  surgery
Esophagus / blood supply,  physiopathology*,  surgery
Female
Gastroesophageal Reflux / prevention & control*
Gastrointestinal Hemorrhage / physiopathology,  surgery
Humans
Hydrogen-Ion Concentration
Intraoperative Period
Male
Manometry
Middle Aged
Peristalsis
Postoperative Period

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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